Expanding and evaluating a community-based intervention to increase healthy beverage consumption by Navajo preschool children

Diet-related disparities among indigenous youth are driven, in part, by excess sugar-sweetened beverage consumption and limited access to drinking water. Water is K’é targets environmental change at early childhood education (ECE) sites and community-wide systems change to promote a Diné culture of health. ECE sites will select and implement site-based and community-level changes to address More

A Framework for Increasing Equity Impact in Obesity Prevention

One of the most pressing unmet challenges for preventing and controlling epidemic obesity is ensuring that socially disadvantaged populations benefit from relevant public health interventions. Obesity levels are disproportionately high in ethnic minority, low-income, and other socially marginalized U.S. population groups. Current policy, systems, and environmental change interventions target obesity-promoting aspects of physical, economic, social, More

Appalachian Store Owners’ and Managers’ Perspectives on the Role of Their Store in the Community and in Providing Healthier Food to the Community

Appalachian communities have lower access to healthier food sources like grocery stores. Through semi-structured interviews with owner/managers of convenience stores in Appalachian communities, this qualitative study explored perceived roles and business practices of small food retailers using a grounded theory approach. Five themes emerged including strong relationships between stores and customers, the role of the More

The Academic, Behavioral, and Health Influence of Summer Child Nutrition Programs: A Narrative Review and Proposed Research and Policy Agenda

Since 1975, the US Department of Agriculture has sponsored the Summer Food Service Program as a nationwide strategy for providing nutritious meals to children and youth (aged 18 years or younger) in low-income communities during the summer months. Many programs are sponsored by community organizations as well as school districts that may offer the program More

Developing and Evaluating the Effectiveness of Pictorial Health Warnings on Sugar-Sweetened Beverages to Overcome Language and Literacy Barriers

Childhood obesity is a major public health problem in the U.S. among racial and ethnic minorities, including among the growing Latino population in the U.S. One promising but understudied policy for addressing childhood obesity is requiring health warnings on the front of sugar-sweetened beverage (SSB) containers. Pictorial warnings in particular hold promise for overcoming language More

A National Research Agenda to Reduce Consumption of Sugar-Sweetened Beverages and Increase Safe Water Access and Consumption Among Zero- to Five-Year-Olds

Early childhood is a critical period for developing food preferences and dietary patterns. Despite dietary recommendations to limit or eliminate sugary drinks in early childhood, children ages 0 to 5 frequently drink these beverages. There is currently a lack of evidence on effective policy, systems, and environmental strategies to reduce sugary drink consumption and provide More

Best Practices and Innovative Solutions to Overcome Barriers to Delivering Policy, Systems and Environmental Changes in Rural Communities

This study investigated the barriers to implementing policy, systems, and environmental (PSE) change initiatives within Supplemental Nutrition Assistance Program-Education (SNAP-Ed) programming in U.S. rural communities, as well as strategies to overcome these barriers. SNAP-Ed staff members across 15 states were surveyed and/or interviewed regarding the types nutrition-related PSE programming currently being implemented, barriers to implementation, More

Evaluating Healthy Vending Policies for Youth in Four Cities

Vending machines are a common source for low nutrient, energy-dense snacks and beverages and youth can easily access vending machines at many public spaces such as parks, recreation centers, and swimming pools. Many cities are beginning to adopt healthy vending policies in public areas, but evidence regarding best practices for developing, implementing, and evaluating these healthy More

A Systematic Review of Strategies to Reduce Sugar‐Sweetened Beverage Consumption Among 0‐Year to 5‐Year Olds

Sugar-sweetened beverage (SSB) consumption begins early and increases with age in the U.S., and there is robust evidence linking SSB consumption with negative health consequences. This systematic review synthesizes evidence from 27 studies on strategies aimed to reduce SSB consumption among 0- to 5-year-olds. Interventions took place primarily in healthcare settings, as well as preschool/daycare, More

Interventions to Prevent Global Childhood Overweight and Obesity: A Systematic Review

In this systematic review, investigators expand on previous reviews of obesity prevention interventions by including recent studies from all parts of the world. School-based interventions with combined diet and physical activity components and a home element had greatest effectiveness; evidence in support of the effect of preschool-based, community-based, and home-based interventions was limited by a More